36 research outputs found

    Memoria y vida cotidiana. Las amas de casa de Almogía durante el franquismo

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    This work, enshrined on the History of Women and the history of everyday life, is part of an investigation about the role of women during the post-war period of the last civil war and the Franco regime in a municipality in the province of Málaga: Almogía. It spans from 1940s to 1975, period in which are documented episodies of the life of anonymous women, forgotten, marginalized, not found in the press or in other written sources either on the radio or on the NODO, or in the history books. However, its protagonists are active subjects of historical task, without them, without their work, life is paralyzed. Moreover, knowledge of its history is essential to understanding not only previously unknown aspects of Franco’s dictatorship, but some of the ins and outs of the present time.Este trabajo, enmarcado en la Historia de las mujeres y la Historia de la vida cotidiana, forma parte de una investigación sobre el papel de las mujeres durante la posguerra de la última guerra civil y el franquismo en un municipio de la provincia de Málaga: Almogía. Abarca desde los años 1940 al 1975, periodo en el que se documentan episodios de la vida de mujeres anónimas, olvidadas, marginadas, que no encontramos en la prensa ni en otras fuentes escritas, ni en la radio ni en el NODO, ni tampoco en los libros de Historia. Sin embargo, sus protagonistas son sujetos activos del quehacer histórico, sin ellas, sin su trabajo, la vida se paraliza. Más aún, el conocimiento de su trayectoria es imprescindible para comprender no sólo aspectos inéditos de la dictadura franquista, sino algunos de los entresijos del tiempo presente

    Comunicación interpersonal e incidencia del burnout en la interacción entre sanitarios y pacientes

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    Se analiza la calidad de la atención y comunicación al paciente, teniendo en cuenta las características personales intrínsecas de los profesionales sanitarios (en este caso el burnout) que puedan incidir y afectar esta relación. La muestra está compuesta por 760 sanitarios divididos en tres perfiles: médicos, enfermeros y auxiliares técnicos. La propuesta metodológica de este trabajo se desarrolla en el contexto del Servicio Extremeño de Salud. Los resultados manifiestan que los sanitarios no perciben dificultades en la calidad de la atención y la comunicación con el paciente, destacando que su principal habilidad radica en la empatía que muestran hacia el usuario (se perciben cercanos, comprensivos, amistosos…). Lo mismo que en la adecuada calidad de la atención y comunicación con el paciente. En cuanto al burnout, los profesionales consideran que no manifiestan cansancio emocional y despersonalización en su puesto de trabajo; además, se sienten muy realizados en su labor profesional.The research analyzes the quality of care and communication with patients, taking into account the inherent personal characteristics of health professionals (in this case the burnout) that may influence and affect this relationship. The sample consists of 760 health divided into three sections: doctors, nurses and technical assistants. The proposed methodology of this work takes place in the context of the Extremadura Health Service. The results show that health problems do not receive the quality of care and patient communication, emphasizing that his main skill lies in showing empathy towards the user (perceived close, supportive, friendly ...). As in the right quality of care and patient communication. As for the burnout, practitioners believe that no manifest emotional exhaustion and depersonalization in the workplace; also they feel very fulfilled in their work

    Competencia social y pragmática en el alumnado inmigrante

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    El estudio analiza la relación existente entre la competencia pragmática y la competencia social del alumnado inmigrante en la etapa de Educación Primaria, diferenciando entre aspectos facilitadores (liderazgo, jovialidad, sensibilidad social y respeto-autocontrol) y perturbadores/inhibidores (agresividad-terquedad, apatía-retraimiento y ansiedad-timidez) de la socialización. La muestra está compuesta por un total de 326 alumnos de origen inmigrante, de edades comprendidas entre los 6 y los 12 años escolarizados en colegios públicos. El instrumento utilizado para evaluar la socialización de los escolares, es la versión para profesores de la Batería de Socialización (BAS) y utilizamos la versión Screening Revisada de la Batería de Lenguaje Objetiva y Criterial (BLOCSR) para evaluar la competencia pragmática. Los resultados ponen de manifiesto la relación existente entre la competencia pragmática y las dimensiones facilitadoras y perturbadoras de la socialización en el alumnado inmigrante, señalando que los alumnos que dominan la competencia pragmática, muestran altas puntuaciones en liderazgo y a su vez puntúan menos en ansiedad-timidez.The study analyzes the relationship between pragmatic competence and social competence of immigrant students in Primary Education, differentiating between facilitators aspects (leadership, joviality, social sensibility, self-respect) and disruptive / inhibitors (aggressiveness, obstinacy, apathy -withdrawal and anxiety-shyness) socialization. The sample is made up of a total of 326 immigrant students, aged between 6 and 12 years enrolled in public schools. The instrument used to evaluate the socialization of school students is the version for teachers of the Socialization Test (BAS) and we used the Revised Screening version of the Objective Language Criteria Test (BLOC-SR) to evaluate the children’s pragmatic competence. The results show the relationship between pragmatic competence and enabling and disruptive dimensions of socialization in immigrant students, indicating that students who master the pragmatic competence, show high scores in leadership and in turn scored less anxiety-shyness

    The impact of childhood RSV infection on children’s and parents’ quality of life: a prospective multicenter study in Spain

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    Background: Several immunisation candidates against RSV are in late-stage clinical trials. To evaluate the benefts of a potential vaccination programme, both economic and health benefts will be needed. Health benefts are usually measured in Health-related Quality of Life (HRQoL) loss using standardised questionnaires. However, there are no RSV-specifc questionnaires validated for children under 2 years, in whom most RSV episodes occur. Therefore, HRQoL estimates are taken from literature or inadequate tools. We determined HRQoL loss and direct costs due to an RSV episode in children younger than 2 years and their caregivers during a month of follow up, using a new questionnaire administered online. Methods: An observational prospective multicentre surveillance study was conducted in children aged younger than two years. Children were recruited from 8 primary care centres and 1 hospital in the Valencia region and Cata‑ lonia (Spain). RSV-positive cases were obtained by immunochromatographic test. HRQoL was assessed using a new ad-hoc 38 item-questionnaire developed. Parents of infected children completed 4 questionnaires at four timepoints (day 0, 7, 14 and 30) after diagnosis. Results: 117 children were enrolled in the study and 86 (73.5%) were RSV+. Median (interquartile range; IQR) scores were 0.52 (0.42–0.68), 0.65 (0.49–0.79), 0.82 (0.68–0.97) and 0.94 (0.81–1), for days 0, 7, 14 and 30, respectively. Compared to total recovery (Q30), HRQoL loss was 37.5%, 31.5% and 8.9% on days 0, 7 and 14 since diagnosis of the disease. The total median cost per patient (including treatments) was €598.8 (IQR: 359.63–2425.85). Conclusions: RSV had almost 40% impact on HRQoL during the frst week since onset of symptoms and the median cost per episode and patient was about €600. These results represent a substantial input for health-economic evalua‑ tions of future RSV-related interventions such as vaccination.This study was funded by Conselleria d’Educació, Cultura i Esport of The Valencia Region of Spain.Medicin

    Biological differences between in vitro produced bovine embryos and parthenotes

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    Parthenotes may represent an alternate ethical source of stem cells, once biological differences between parthenotes and embryos can be understood. In this study, we analyzed development, trophectoderm (TE) differentiation, apoptosis/necrosis, and ploidy in parthenotes and in vitro produced bovine embryos. Subsequently, using real-time PCR, we analyzed the expression of genes expected to underlie the observed differences at the blastocyst stage. In vitro matured oocytes were either fertilized or activated with ionomycin C6-DMAP and cultured in simple medium. Parthenotes showed enhanced blastocyst development and diploidy and reduced TE cell counts. Apoptotic and necrotic indexes did not vary, but parthenotes evidenced a higher relative proportion of apoptotic cells between inner cell mass and TE. The pluripotence-related POU5F1 and the methylation DNMT3A genes were downregulated in parthenotes. Among pregnancy recognition genes, TP-1 was upregulated in parthenotes, while PGRMC1 and PLAC8 did not change. Expression of p66shc and BAX/BCL2 ratio were higher, and p53 lower, in parthenotes. Among metabolism genes, SLC2A1 was downregulated, while AKR1B1, PTGS2, H6PD, and TXN were upregulated in parthenotes, and SLC2A5 did not differ. Among genes involved in compaction/blastulation, GJA1 was downregulated in parthenotes, but no differences were detected within ATP1A1 and CDH1.Within parthenotes, the expression levels of SLC2A1, TP-1, and H6PD, and possibly AKR1B1, resemble patterns described in female embryos. The pro-apoptotic profile is more pronounced in parthenotes than in embryos, which may differ in their way to channel apoptotic stimuli, through p66shc and p53 respectively, and in their mechanisms to control pluripotency and de novo methylation

    Relationship of ST segment/heart rate slope index and ST segment change index scores on the heart rate change during conventional stress test with the presentation of new cardiovascular events

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    Introducción: La prueba de esfuerzo convencional es una herramienta diagnóstica de fácil interpretación y accesibilidad que se utiliza de forma frecuente en la evaluación del dolor torácico, no obstante, sus características operativas están influenciadas por múltiples variables resultando en una capacidad limitada para la predicción global de desenlaces cardiovasculares. El uso de los índices y las variables adicionales en su interpretación podrían mejorar la predicción de los desenlaces cardiovasculares. Métodos: Mediante la realización de un estudio descriptivo, analítico y retrospectivo, se evaluó la relación y capacidad de predicción de los índices pendiente ST/FC y ST/FC con el desarrollo de eventos cardiovasculares a un año. De un total de 438 estudios, se seleccionaron 138 que cumplían con los criterios para evaluación. Se realizó un análisis descriptivo de las variables de interés y posteriormente se procedió a realizar un análisis univariado y multivariado de las diferentes variables y desenlaces de interés. Conclusiones: Se encontró una relación estadísticamente significativa entre la capacidad del ejercicio, el índice pendiente ST/FC y el desarrollo de los desenlaces cardiovasculares, sin encontrar relación significativa con el índice pendiente ST/FC. Se observa discreta mejoría de la capacidad de predicción global de la prueba de esfuerzo convencional con la adición del índice pendiente ST/FC (AUC 0,70 a AUC 0,74).Q4Artículo original5-9Introduction: Conventional stress test is a diagnostic tool easy to interpret and of easy access frequently used in the assessment of chest pain; however, its operational characteristics are influenced by multiple variables, resulting in a limited ability for global prediction of cardiovascular outcomes. The use of indexes and additional variables in their interpretation could improve prediction of cardiovascular outcomes. Methods: By conducting a descriptive, analytical and retrospective study, the relationship and prediction ability of the slope ST/HR and ST/HR indexes with the development of cardiovascular events were assessed at one year. Out of a total of 438 studies, 138 were selected that complied with the evaluation criteria. A descriptive analysis of the variables of interest was carried out, and later on a univariate and multivariate analysis of the different variables and outcomes of interest. Conclusions: A statistically significant relationship was found between exercise capacity, ST/HR slope index and the development of cardiovascular events, without findings of a significant relationship with the ST/HR slope index. A discreet improvement of the global prediction capacity of the conventional stress test with the addition of the ST/HR slope index (AUC 0.70 to AUC 0.74) is observed.https://orcid.org/0000-0002-3606-210

    Connectivity between coastal lagoons and sea: asymmetrical effects on assemblages' and populations' structure

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    Connectivity among marine populations plays a fundamental role in the dynamic of metapopulations and communities. Moreover, genetic connectivity is important for the evolutionary history and adaptive capability of species while demographic connectivity is essential to maintain ecological processes. In coastal lagoons, isolation degree or confinement is considered the main factor structuring biological assemblages. These environments also function as nursery areas for many marine species that colonize the lagoons as larvae or juveniles, returning to the sea for reproduction. It is therefore essential to know the connectivity between lagoons and sea for the management of biodiversity and the exploitation of coastal living resources. This work anases the role that connectivity between coastal lagoons and sea plays in the assemblages and subpopulations structure of the first. To this purpose, a finite element hydrodynamic model was used coupled with a lagrangian module to simulate the potential exchange of organisms between Mar Menor lagoon (Western Mediterranean) and the adjacent sea. Connectivity parameters from 40 stations, located inside and outside the Mar Menor, have been estimated. The outcomes of the eight simulations carried out were compared with field data, including ichthyoplankton species composition and genetic fluxes in 6 species with different life stories. The results suggest that pelagic larval phases are longer than expected or the species can extend PLD within certain limits if the conditions for the settlement are not adequate. Repetition can improve the chance of self-recruitment, coupling larval duration, competency period and finding the adequate location for settlement. The results also show that connectivity between all lagoon and Mediterranean stations is very low and is independent of geographical distance. There is a strong asymmetry in the probability of receiving particles, being lower the probability of colonization of the lagoon stations from the sea than vice versa. Despite its low values, connectivity can explain up to 65% of the similarities in species composition of the ichthyoplankton and between 30 and 96% of the variance in genetic differentiation of the studied species. The low value of connectivity and colonization rates is enough, however, to maintain the genetic fluxes between populations and, at the same time, restricted connectivity can play an important role in maintaining high diversity and heterogeneous assemblage structure

    Relación entre los puntajes del índice de pendiente del segmento ST/frecuencia cardiaca y el índice del cambio del segmento ST sobre el cambio de la frecuencia cardiaca durante la realización de la prueba de esfuerzo convencional con la presentación de nuevos eventos cardiovasculares

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    Introducción: La prueba de esfuerzo convencional es una herramienta diagnóstica de fácil interpretación y accesibilidad que se utiliza de forma frecuente en la evaluación del dolor torácico, no obstante, sus características operativas están influenciadas por múltiples variables resultando en una capacidad limitada para la predicción global de desenlaces cardiovasculares. El uso de los índices y las variables adicionales en su interpretación podrían mejorar la predicción de los desenlaces cardiovasculares. Métodos: Mediante la realización de un estudio descriptivo, analítico y retrospectivo, se evaluó la relación y capacidad de predicción de los índices pendiente ST/FC y ST/FC con el desarrollo de eventos cardiovasculares a un ano. ˜ De un total de 438 estudios, se seleccionaron 138 que cumplían con los criterios para evaluación. Se realizó un análisis descriptivo de las variables de interés y posteriormente se procedió a realizar un análisis univariado y multivariado de las diferentes variables y desenlaces de interés. Conclusiones: Se encontró una relación estadísticamente significativa entre la capacidad del ejercicio, el índice pendiente ST/FC y el desarrollo de los desenlaces cardiovasculares, sin encontrar relación significativa con el índice pendiente ST/FC. Se observa discreta mejoría de la capacidad de predicción global de la prueba de esfuerzo convencional con la adición del índice pendiente ST/FC (AUC 0,70 a AUC 0,74). Relationship of ST segment/heart rate slope index and ST segment change index scores on the heart rate change during conventional stress test with the presentation of new cardiovascular events. © 2016 Sociedad Colombiana de Cardiolog´ıa y Cirug´ıa Cardiovascular. Publicado por Elsevier Espana, ˜ S.L.U. Este es un art´ıculo Open Access bajo la licencia CC BY-NC-ND (http:// creativecommons.org/licenses/by-nc-nd/4.0/)Q4Artículo original5-9Introduction: Conventional stress test is a diagnostic tool easy to interpret and of easy access frequently used in the assessment of chest pain; however, its operational characteristics are influenced by multiple variables, resulting in a limited ability for global prediction of cardiovascular outcomes. The use of indexes and additional variables in their interpretation could improve prediction of cardiovascular outcomes. Methods: By conducting a descriptive, analytical and retrospective study, the relationship and prediction ability of the slope ST/HR and ST/HR indexes with the development of cardiovascular events were assessed at one year. Out of a total of 438 studies, 138 were selected that complied with the evaluation criteria. A descriptive analysis of the variables of interest was carried out, and later on a univariate and multivariate analysis of the different variables and outcomes of interest. Conclusions: A statistically significant relationship was found between exercise capacity, ST/HR slope index and the development of cardiovascular events, without findings of a significant relationship with the ST/HR slope index. A discreet improvement of the global prediction capacity of the conventional stress test with the addition of the ST/HR slope index (AUC 0.70 to AUC 0.74) is observed. © 2016 Sociedad Colombiana de Cardiolog´ıa y Cirug´ıa Cardiovascular. Published by Elsevier Espana, ˜ S.L.U. This is an open access article under the CC BY-NC-ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/)

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